Individual provider Active NPI

Itohan Cindy Locklear, APN

  • Family Nurse Practitioner
  • New Brunswick, NJ
National Provider Identifier
1891678892
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15367000 Issued in NJ
Practice address
105 Joyce Kilmer Ave
New Brunswick, NJ 08901-2915
Phone
(732) 828-6002
NPI assigned
Jul 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15367000 NJ Primary

Addresses

Primary practice location

105 Joyce Kilmer Ave
New Brunswick, NJ 08901-2915

Mailing address

56 Avenue H
Monroe Township, NJ 08831-2152
Phone (973) 953-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209002877 NJ Practitioner - Nurse Practitioner 7113411075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

173 Bridge PLZ N
Fort Lee, NJ 07024-7575

56 Ave H
Monroe Township, NJ 08831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15367000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgecare Provider Group LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

173 Bridge Plz N
Fort Lee, NJ 07024
Phone (201) 468-2065

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1891678892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 AVENUE H",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088312152",
            "telephone_number": "973-953-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JOYCE KILMER AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012915",
            "telephone_number": "732-828-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "ITOHAN CINDY",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15367000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.